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Aquaphor and other Moisturizers
old post on your site about A&D ointment and psoriasis [A&D
Ointment — Add P to the List of What It's Good For], I used a similar
ointment called Purpose Dry Skin Cream until it was discontinued
in the late 90's. Its
ingredients were light mineral oil, petrolatum and lactic acid.
The combination was tremendously effective in controlling (and
essentially eliminating) my otherwise large patches of psoriasis.
No other OTC product matched its effectiveness, though
comparatively, A&D was okay. So
perhaps just the combination of mineral oil and petrolatum in A&D, as
opposed to the vitamins, are what makes A&D effective for others.
(As your site says, though, it's probably different for everyone.)
No longer having the lactic acid ingredient made the oil/petro
combination much less effective for me.
I now use the
RX Cyclocort, and it's even better than was the Purpose
Ointment. If the steroid level
in Cyclocort concerns your readers, Dovonex, a synthetic vitamin D3 is a
non-steroid alternative. But
your readers probably know about these products.
Anyone know of
a generic A&D ointment that doesn't include the strong fragrance?
All the generics I know of have added the fragrance.
I use it on my face, and the fragrance irritates my eyes.
Response: Funny you should
bring up Dovonex and A&D ointment in the same email, because both are
related to vitamin D. Dovonex
is a man-made vitamin D3 whereas A&D ointment is supposed to have
natural vitamin D in it (as well as vitamin A, hence “A+D”).
For some people
the topical vitamin emollients work well.
For others, something with powerful moisturizing characteristics,
no vitamins and no fragrance — something like Aquaphor (by Eucerin)
might be a possibility. My
derm recommended Aquaphor to me when the P-lesions on my feet become
thick, painful and cracked. While
it doesn’t get rid of the lesions, it does keep them pliant (preventing
cracking) and more comfortable. My
derm recommends Aquaphor to other flakers who have the cracking problem on
elbows and knees, too.
correspondents here use plain old petrolatum, a.k.a. petroleum jelly
(which Aquaphor largely is). It
can be too greasy for use everywhere during the day, and some don’t like
the fact that it makes clothes feel gooey,
but it does penetrate into lesions and keeps them pliant.
This prevents cracking and can calm the itch, if that’s a
problem. When I occlude a
thick lesion with petroleum jelly (or Aquaphor) and a cellophane wrap over
night, I find it’s easy to exfoliate the lesion (remove the top several
layers of flakes) with a brisk
terry washcloth scrubbing in the shower the next morning.
Whether or not it’s true, this makes me think I’m leaving fewer flakes in my wake as I move about that
Hopefully anybody reading this who might know about an A&D-like product sans fragrance will drop us a line. -Ed